Provider Demographics
NPI:1366860835
Name:TRUE NORTH CARE CONNECTIONS, LLC.
Entity Type:Organization
Organization Name:TRUE NORTH CARE CONNECTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:252-341-5819
Mailing Address - Street 1:8424 S HALIFAX RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-8639
Mailing Address - Country:US
Mailing Address - Phone:252-341-5819
Mailing Address - Fax:855-824-2223
Practice Address - Street 1:8424 S HALIFAX RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27803-8639
Practice Address - Country:US
Practice Address - Phone:252-341-5819
Practice Address - Fax:855-824-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management